Application of mucoderm® for soft tissue management around single implants at second stage surgery Dr. C. De Annuntiis
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1/17 - Initial clinical situation showing tooth 45 not worth preservingApplication of mucoderm® for soft tissue management around single implants at second stage surgery Dr. C. De Annuntiis
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2/17 - Occlusal view of initial clinical situationApplication of mucoderm® for soft tissue management around single implants at second stage surgery Dr. C. De Annuntiis
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3/17 - X- ray presenting defectApplication of mucoderm® for soft tissue management around single implants at second stage surgery Dr. C. De Annuntiis
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4/17 - Atraumatic tooth extractionApplication of mucoderm® for soft tissue management around single implants at second stage surgery Dr. C. De Annuntiis
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5/17 - Healing of the extraction socket at 3 monthsApplication of mucoderm® for soft tissue management around single implants at second stage surgery Dr. C. De Annuntiis
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6/17 - Control X-rayApplication of mucoderm® for soft tissue management around single implants at second stage surgery Dr. C. De Annuntiis
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7/17 - Buccal view: interproximal tissues are stableApplication of mucoderm® for soft tissue management around single implants at second stage surgery Dr. C. De Annuntiis
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8/17 - Crestal incision for implant placementApplication of mucoderm® for soft tissue management around single implants at second stage surgery Dr. C. De Annuntiis
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9/17 - Implant placementApplication of mucoderm® for soft tissue management around single implants at second stage surgery Dr. C. De Annuntiis
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10/17 - Healing at 2 months: insufficient buccal volumeApplication of mucoderm® for soft tissue management around single implants at second stage surgery Dr. C. De Annuntiis
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11/17 - Implant surrounded by bone: it´s possible to augment just soft tissueApplication of mucoderm® for soft tissue management around single implants at second stage surgery Dr. C. De Annuntiis
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12/17 - Application of mucoderm® and fixation of the matrix to the lingual flapApplication of mucoderm® for soft tissue management around single implants at second stage surgery Dr. C. De Annuntiis
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13/17 - Tension free wound closure, note a little area left exposedApplication of mucoderm® for soft tissue management around single implants at second stage surgery Dr. C. De Annuntiis
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14/17 - Aesthetically healed soft tissue after 1 monthApplication of mucoderm® for soft tissue management around single implants at second stage surgery Dr. C. De Annuntiis
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15/17 - Provisional crown placed to shape the soft tissueApplication of mucoderm® for soft tissue management around single implants at second stage surgery Dr. C. De Annuntiis
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16/17 - Follow up at 2 years presenting stable soft tissues with final restorationApplication of mucoderm® for soft tissue management around single implants at second stage surgery Dr. C. De Annuntiis
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17/17 - X-ray at 2 years presenting stable hard tissuesApplication of mucoderm® for soft tissue management around single implants at second stage surgery Dr. C. De Annuntiis
Initial view of the case. Discoloration of 1.1 and mild class I gingival recession
Initial clinical situation with Miller class 1 recession
Initial clinical situation
Initial clinical situation
Pre-operative clinical situation. Gingival recessions at teeth 11 and 21.
Gingival recession at tooth 13. Free gingival graft (FGG) of a previous surgery for root coverage visible.
recession on tooth 11
Insufficient keratinized mucosa and extremely shallow vestibule on the maxilla
Initial clinical situation
Tooth extraction due to root fracture
Full-thickness flap preparation bucally and lingually
Initial situation: missing teeth #11 & 12 and badly broken #21 root
Drilling template for guided implant placement
Initial clinical situation showing strongly compromised tooth 21
Pre-surgical clinical situation. Deep gingival recessions at both upper canine.
Pre-surgical situation. Multiple adjacent gingival recessions at teeth 12, 13 and 14.
Multiple adjacent gingival recessions.
X-ray shows a 3-dimensional periondontal defect
Initial clinical situation with lack of keratinized tissue
Bone defect in area 11-21 due to two lost implants (periimplantitis) after 15 years of function
Intact socket following atraumatic tooth extraction
X-ray of initial clinical situation
Initial clinical situation
Alveolar socket before soft and hard tissue augmentation
Clinical situation before surgery
Initial clinical situation
Initial clinical situation with traumatic loss of tooth 21
Longitudinal fracture on the root resected tooth 21 with visible buccal fistula
















